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Arizona rates for HCPCS 99316

Nursing facility discharge management; more than 30 minutes total time on the date of the encounter

Facilitymedian $309 · 10th–90th $78–$5890%5%10%10th90th$309Professionalmedian $110 · 10th–90th $79–$2290%10%10th90th$110$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $109.65 / $229.09
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $331.13 / $630.96
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $109.65 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $104.71 / $169.82
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $123.03 / $588.84
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $102.33 / $776.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $204.17 / $204.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $97.72 / $218.78